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腹腔镜胆囊切除术后腹胀怎么办 高炜东 西安市第三医院 腹腔镜胆囊切除术以后的腹胀是要仔细寻找原因的,是肠道功能恢复有问题,还是病人平常有便秘的现象,排除这些情况的时候,还需要寻找具体的原因,有没有电解质的紊乱、低钾血症,有没有腹腔的炎症,有没有胆漏造成的腹膜炎等等一些情况,通过一些检查就可以寻找到一些原因,针对具体的原因,采取具体的解决方式,比如说知道胆囊息肉的病人,他的胆囊的功能基本上是正常的,所以导致了一些病人在切除胆囊以后,会有一些消化道症状,比如说就是腹胀的问题,出现问题怎么办呢,通常补充一些消化酶,或者是用一些肠道的动力药,比如说莫沙必利或者是中成药四磨汤等等,一些促进肠功能的或者是补充一些消化酶就可以解决掉手术以后的腹胀的问题。 How to deal with abdominal distention after laparoscopic cholecystectomy The reason of abdominal distention after laparoscopic cholecystectomy should be found carefully, It's the recovery of intestinal function, The patient usually has constipation, When you eliminate these situations, We also need to find specific reasons, Is there any electrolyte disorder or hypokalemia, Is there any inflammation in the abdominal cavity, Is there peritonitis caused by bile leakage, We can find some reasons through some inspections, For specific reasons, Take concrete solutions, For example, patients who know about gallbladder polyps, His gallbladder function is basically normal, So it led to some patients who had their gallbladder removed, There will be some gastrointestinal symptoms, For example, the problem of abdominal distension, What if something goes wrong, We usually add some digestive enzymes, Or use some gut power drugs, For example, mosapride or Chinese patent medicine Simo soup, etc, The problem of abdominal distention after operation can be solved by improving intestinal function or adding some digestive enzymes.